32986 (2) CIW81iii SAWJ� i""',A BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date..... 19__,� ...._j
_ Permit No 2�2
.. ........6 �o..........
Application is hereby made for a rmif to ---------------------------------------------------------------------
It--------- Building
-4-1�'�otj, Type:--
t .....
to be occupied' --------
only as' ---------------I--- ---- --- 1/974Y
Specific io
c
in accordance with .Plans, Spa Ns 11 In it re
Estimated Value of Improvements, Sdft
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---- -
It is hereby agreed that the requirements of the San Jos. Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with. A-
I certify that in the performance of the worlVf.",'which this permit is issued I shall not employ any per-
son in any manner so as to violate the workmen's' compensation laws of California.
Ownerivo" - 4���Acldress44�4��
.................. ----------- -------
By -- ---!!!-�Address ------------
C ant
Form 280-1
RECORD OF INSPECTION
Foundation ---- Frame
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